Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.23 / $66.23 / $196.00	Facility		$66.23	$66.23	$196.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.85 / $66.23 / $92.08	Professional		$60.85	$66.23	$92.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $115.80 / $135.65 / $351.46	Facility		$115.80	$135.65	$351.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.16 / $72.19 / $162.61	Professional		$60.16	$72.19	$162.61
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $104.82 / $104.82 / $104.82	Professional		$104.82	$104.82	$104.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $92.49 / $123.32 / $166.48	Facility		$92.49	$123.32	$166.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $80.16 / $123.32 / $264.05	Professional		$80.16	$123.32	$264.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.77 / $79.77 / $159.10	Facility		$79.77	$79.77	$159.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.23 / $58.23 / $101.91	Professional		$58.23	$58.23	$101.91
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $79.77 / $79.77 / $79.77	Facility		$79.77	$79.77	$79.77
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $58.23 / $79.77 / $79.77	Professional		$58.23	$79.77	$79.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.31 / $71.92 / $94.29	Professional		$52.31	$71.92	$94.29
United Facility/Professional Professional Modifier Low / Median / High Price $41.02 / $60.98 / $92.70	Professional		$41.02	$60.98	$92.70